产后胃气不和。呕吐不止。全不纳谷。在七日内。血块未除。当重消块。佐以温胃。
川芎 人参(各一钱) 当归(二钱) 干姜 砂仁 藿香(各四分) 炙甘草(五分) 桃仁(十
粒) 姜(一片) 如有汗。不用姜,七日内外。已服生化汤三四帖。血块不痛。呕吐不纳谷。
川芎(一钱) 当归 扁豆(各二钱) 干姜 豆蔻(各四分) 甘草(三分) 人参 茯苓(各一
钱) 藿香(三分) 山药(一钱五分) 陈皮(三分) 姜(一片) 煎服。呕止后,减去豆蔻。
(〔吴按〕扁豆宜用壳。)
产后呕吐。服前二方。而胃和呕止痛止。但气血不行。食少。
人参 白术 当归 扁豆(各一钱) 茯苓(二钱) 甘草 陈皮 干姜(各四分) 山药(一钱
五分) 煎服。
产后形体劳倦。虽少食亦运化羁迟。胸腹欠舒。故无嗳酸气味。不可即投消导。纵伤食而嗳
酸。恶心。恶食。饱闷。当于生化汤内佐消导。若血块消尽。宜以参术为主。消导为佐。若
夫因伤诸食。服消食开胃药多。反损胃气。必增虚饱满闷。多不思谷。医者又误认原伤食物未
消。不敢用补助胃气之药。多致不救。予治此症。用长生活命丹。活人多矣。
产后胃气不和。呕吐不止。全不纳谷。在七日内。血块未除。当重消块。佐以温胃。
产后胃气失和,呕吐不停,完全不能进食。如果在产后七天内,恶露血块尚未清除,应当着重消除血块,辅以温补胃气。
川芎 人参(各一钱) 当归(二钱) 干姜 砂仁 藿香(各四分) 炙甘草(五分) 桃仁(十粒) 姜(一片) 如有汗。不用姜,七日内外。已服生化汤三四帖。血块不痛。呕吐不纳谷。
方药组成:川芎、人参(各一钱),当归(二钱),干姜、砂仁、藿香(各四分),炙甘草(五分),桃仁(十粒),生姜(一片)。如果患者有出汗症状,则不使用生姜。在产后七天内外,如果已经服用过生化汤三到四剂,血块引起的疼痛已止,但仍有呕吐且无法进食的情况。
川芎(一钱) 当归 扁豆(各二钱) 干姜 豆蔻(各四分) 甘草(三分) 人参 茯苓(各一钱) 藿香(三分) 山药(一钱五分) 陈皮(三分) 姜(一片) 煎服。呕止后,减去豆蔻。 (〔吴按〕扁豆宜用壳。)
方药组成:川芎(一钱),当归、白扁豆(各二钱),干姜、肉豆蔻(各四分),甘草(三分),人参、茯苓(各一钱),藿香(三分),山药(一钱五分),陈皮(三分),生姜(一片)。水煎服。待呕吐停止后,减去肉豆蔻。(吴氏按语:白扁豆宜使用其外壳。)
产后出现呕吐,服用上述两个方剂后,胃气调和,呕吐和疼痛停止。但是气血运行不畅,食欲减退。
人参 白术 当归 扁豆(各一钱) 茯苓(二钱) 甘草 陈皮 干姜(各四分) 山药(一钱五分) 煎服。
方药组成:人参、白术、当归、白扁豆(各一钱),茯苓(二钱),甘草、陈皮、干姜(各四分),山药(一钱五分)。水煎服。
产后形体劳倦。虽少食亦运化羁迟。胸腹欠舒。故无嗳酸气味。不可即投消导。纵伤食而嗳酸。恶心。恶食。饱闷。当于生化汤内佐消导。若血块消尽。宜以参术为主。消导为佐。若夫因伤诸食。服消食开胃药多。反损胃气。必增虚饱满闷。多不思谷。医者又误认原伤食物未消。不敢用补助胃气之药。多致不救。予治此症。用长生活命丹。活人多矣。
产后身体疲劳困倦,即使吃得很少,脾胃运化也迟缓,胸腹部感觉不适。因此没有嗳气泛酸的气味,此时不可立即使用消食导滞的药物。即使是饮食积滞导致的嗳气泛酸、恶心、厌食、饱胀胸闷,也应当在生化汤的基础上辅助使用消导药物。如果血块已经完全消除,应当以人参、白术等补气健脾药为主,消导药为辅。如果是因损伤各种食物所致,服用过多消食开胃的药物,反而会损伤胃气,必然增加虚满和饱闷感,导致更加不想吃饭。医生又错误地认为原本受伤的食物尚未消化,不敢使用补助胃气的药物,这往往导致病情危重难以救治。我治疗这类病症,使用长生活命丹,治愈了很多人。
Postpartum disharmony of Stomach Qi, incessant vomiting, and complete inability to accept food. Within seven days, if blood stasis has not been eliminated, one should focus on resolving the stasis, assisted by warming the Stomach.
Formula: Chuanxiong Rhizoma (Chuanxiong), Ginseng Radix et Rhizoma (Renshen) (each 1 qian), Angelicae Sinensis Radix (Danggui) (2 qian), Zingiberis Rhizoma Recens (Ganjiang), Amomi Fructus Rotundus (Sharen), Agastegher Herba (Huoxiang) (each 4 fen), Glycyrrhizae Radix et Rhizoma Praeparata cum Melle (Zhi Gancao) (5 fen), Persic Semen (Taoren) (10 grains), Zingiberis Rhizoma Recens (Jiang) (1 slice). If there is sweating, do not use Ginger. Within or around seven days postpartum, if Shenghua Tang has already been taken for three to four doses, and there is no pain from blood stasis but vomiting and inability to eat persist.
Formula: Chuanxiong Rhizoma (Chuanxiong) (1 qian), Angelicae Sinensis Radix (Danggui), Dolichos Lablab Semen Album (Bian Dou) (each 2 qian), Zingiberis Rhizoma Recens (Ganjiang), Myristicae Semen (Doukou) (each 4 fen), Glycyrrhizae Radix et Rhizoma (Gancao) (3 fen), Ginseng Radix et Rhizoma (Renshen), Poria (Fuling) (each 1 qian), Agastegher Herba (Huoxiang) (3 fen), Dioscoreae Rhizoma (Shanyao) (1.5 qian), Citri Reticulatae Pericarpium (Chenpi) (3 fen), Zingiberis Rhizoma Recens (Jiang) (1 slice). Decoct and take orally. After vomiting stops, remove Myristicae Semen (Doukou). [Note by Wu: Dolichos Lablab Semen Album (Bian Dou) should preferably be used with its shell.]
Postpartum vomiting. After taking the previous two formulas, Stomach Qi harmonizes, vomiting and pain cease. However, Qi and Blood do not circulate well, and appetite is poor.
Formula: Ginseng Radix et Rhizoma (Renshen), Atractylodis Macrocephalae Rhizoma (Baizhu), Angelicae Sinensis Radix (Danggui), Dolichos Lablab Semen Album (Bian Dou) (each 1 qian), Poria (Fuling) (2 qian), Glycyrrhizae Radix et Rhizoma (Gancao), Citri Reticulatae Pericarpium (Chenpi), Zingiberis Rhizoma Recens (Ganjiang) (each 4 fen), Dioscoreae Rhizoma (Shanyao) (1.5 qian). Decoct and take orally.
Postpartum physical fatigue and exhaustion. Even with small amounts of food, digestion and transformation are sluggish. The chest and abdomen feel uncomfortable. Therefore, there is no sour belching. One should not immediately administer digestive-promoting herbs. Even if it is food stagnation causing sour belching, nausea, aversion to food, fullness, and oppression, one should assist with digestive-promoting herbs within Shenghua Tang. If blood stasis is completely resolved, one should prioritize Ginseng Radix et Rhizoma (Renshen) and Atractylodis Macrocephalae Rhizoma (Baizhu), with digestive-promoting herbs as assistants. If the condition arises from damaging various foods, taking too many digestive-promoting and appetite-stimulating herbs will反而 damage Stomach Qi, inevitably increasing deficiency-fullness and oppression, leading to a lack of desire for grain. Physicians may mistakenly believe that the originally damaged food has not yet digested and dare not use herbs to tonify Stomach Qi, often resulting in untreatable conditions. I treat this syndrome using Changsheng Huoming Dan, having saved many people.
Formula: Ginseng Radix et Rhizoma (Renshen) (3-4 qian). Decoct in water, mix with the powder of scorched rice at the bottom of the pot (Guodi Fanjiao) and take orally. [Note by Wu: Guodi Fanjiao is commonly known as Guoba (scorched rice crust).]